KEITH CAVANAUGH MD
NPI 1497830145
Pediatrics - Pediatric Pulmonology in Minneapolis, MN

Q: What is Keith Cavanaugh's NPI number?

The NPI number for Keith Cavanaugh is 1497830145. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Keith Cavanaugh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Keith Cavanaugh was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment

2530 CHICAGO AVE S, SUITE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keith Cavanaugh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH CAVANAUGH MD (NPI 1497830145) is an individual pediatric pulmonology provider in Minneapolis, Minnesota, licensed in Minnesota (41590) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1497830145

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameKEITH CAVANAUGHCredential: MD

Location Address2530 CHICAGO AVE S, SUITE 400Minneapolis, MN 55404-4387

Mailing Address2530 Chicago Ave S, Suite 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349

Phone(612) 813-3300

Fax(612) 813-3349

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996

Enumeration DateOctober 25, 2006

Last NPPES UpdateMarch 2, 2011

✔ NPI 1497830145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

Licenses✔ Licensed in MN · 41590✔ Licensed in CO · 40154

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

2530 CHICAGO AVE S, Minneapolis, MN 55404

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Other Identifiers 3

Medicare UPINH96614CO

Medicare PINC537118CO

Medicaid38376733CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Cavanaugh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426955592

PECOS Enrollment IDI20091118000228

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number243300

Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216

DME-Medical/Surgical Supplies · category DA000N

3 suppliers18 claims950 services$0.41 avg. paid by Medicare

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims464 services$3.03 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims56 services$9.39 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

3 suppliers21 claims2,142 services$2.51 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers15 claims427 services$3.98 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$13.02 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

4 suppliers16 claims65 services$6.37 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

3 suppliers16 claims55 services$3.71 avg. paid by Medicare

Interface for cough stimulating device, includes all components, replacement only A7020

DME-Other DME · category DE000N

2 suppliers11 claims11 services$12.69 avg. paid by Medicare

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507

DME-Orthotic Devices · category DF000N

2 suppliers16 claims994 services$2.29 avg. paid by Medicare

Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520

DME-Orthotic Devices · category DF000N

1 supplier12 claims25 services$45.88 avg. paid by Medicare

Tracheostomy mask, each A7525

DME-Orthotic Devices · category DF000N

1 supplier11 claims54 services$1.99 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier11 claims308 services$3.12 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims303 services$4.71 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims3,738 services$1.06 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

4 suppliers25 claims36 services$857.05 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers30 claims39 services$876.45 avg. paid by Medicare

Cough stimulating device, alternating positive and negative airway pressure E0482

DME-Other DME · category DE000N

2 suppliers18 claims18 services$341.04 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers18 claims18 services$6.86 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers22 claims4,456 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers39 claims2,586 services$0.82 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

12 suppliers42 claims42 services$26.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK H EIKENBERRY M.D.

Pediatrics (Pediatric Critical Care Medicine)

2530 CHICAGO AVE S, SUITE 400
MINNEAPOLIS, MN 55404

Hennepin County (612) 813-3300

JOHN F FUGATE M.D.

Pediatrics (Pediatric Critical Care Medicine)

2530 CHICAGO AVE S, SUITE 400
MINNEAPOLIS, MN 55404

Hennepin County (612) 813-3300

CHILDREN'S HEALTH CARE

Pharmacy (Community/Retail Pharmacy)

2530 CHICAGO AVE S, CSC 225
MINNEAPOLIS, MN 55404

Hennepin County (612) 813-7290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Cavanaugh's NPI number?

The NPI number for Keith Cavanaugh is 1497830145. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Keith Cavanaugh located?

Keith Cavanaugh practices at 2530 Chicago Ave S Suite 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.

What is Keith Cavanaugh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Keith Cavanaugh enrolled in Medicare?

Yes. Keith Cavanaugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Cavanaugh accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Keith Cavanaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith Cavanaugh affiliated with any hospitals?

According to CMS data, Keith Cavanaugh is affiliated with Gillette Childrens Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Keith Cavanaugh was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.